Description

By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together.

Job Description Summary

The Senior Coder - Hospital, utilizing a strong coding background and clinical knowledge, will assist the Coding Manager and Director of HIM in overseeing the coding compliance auditors – hospital and coding program including coding, Joint Commission and any other related audits. Senior Coder will also code diagnoses and procedures for admission and discharge claims to prevent loss of revenue, optimize charge capture, and adhere to all compliance standards. The Senior Coder will work on assigned special projects and audits that include training of new staff and ongoing education.

The Senior Coder will consistently demonstrate support of the SRALAB statement of Vision, Mission, and Core Values by striving for excellence, contributing to the team efforts, and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

The Senior Coder will demonstrate SRALAB Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and SRALAB Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.

Job Description

The Senior Coder will:

• Assist Coding Manager and HIM Director and Coders with evaluating the medical record for incomplete or inconsistent documentation; work closely with audit team to ensure quarterly coding audits and education.
• Provide training to new Coding Compliance Auditors – hospital; review work and monitor progress to ensure coding accuracy and productivity are being met.
• Complete DNFB daily reporting as assigned, support and develop KPIs, and assign work to coding team when needed.
• Perform audits required by accrediting and quality organizations such as The Joint Commission and Comp Data to determine if the information in the medical record meets set standards and regulations as requested.
• Perform assigned Medicaid, Medicare, and other third-party payer audits.
• Code inpatient admission and discharged medical records within appropriate timeframes to meet timely billing requirements. Provide coding training and updates for coding team and other hospital staff as needed.
• Send queries for physicians to assist in accurate, quality documentation within the medical record; help facilitate and assist in a query monitoring and reporting program.
• Participate in communication and education with medical staff concerning documentation issues/queries to support accurate coding and billing.
• Support continuous quality improvement efforts and performs special projects, training, education, and/or duties as assigned by the Director of Medical Records. Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

Reporting Relationships

Reports to the Manager, Medical Records Coding.

Knowledge, Skills & Abilities Required

• Associate's degree required. Bachelor's degree preferred. Coding Certification through AHIMA or AAPC (i.e., RHIA, RHIT or CCS) and maintain continuing education requirements.
• Minimum 5-7 Years of ICD-10CM and ICD-10PCS coding experience and clinical knowledge.
• 3-4 years of auditing experience, i.e., Joint Commission, H&P, physician audits.
• Knowledge of regulatory, billing, and other coding guidelines.
• Thorough knowledge of related prospective payment systems and excellent auditing skills for coding quality and compliance acquired by on-the-job experience.
• Advanced computer skills with Windows based applications, including Word, Excel, PowerPoint. Obtains experience with Teams, Web-Ex and/or Zoom meetings for presentations.
• Interpersonal skills necessary to effectively communicate with other departments, physicians, outside agencies, and key customers.
• Good writing skills to create reports and ability to graphically present audit data.

Working Conditions

Normal office environment with little or no exposure to dust or extreme temperature.